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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 Excerpt: ...codema of the face and eyelids, spreading thence to the limbs, and sometimes to the serous cavities. The blood contains a marked excess of eosinophile leucocytes, and the temperature is raised. The symptoms last usually four or five weeks. Sometimes, when a patient has had his forearm fractured and put up in splints, the bandages may be applied too tightly and the blood-supply of the muscles is interfered with by the pressure. As a result there are swelling and pain in the hand, and unless Fio. 10o.--Ischaemic myositis. the bandages be loosened, ischaemic paralysis (v. Volkmann) may develop. This is a variety of myositis. At first the muscles of the forearm swell from cedematous effusion; later they become shrunken, hard, and contractured by interstitial fibrous tissue, the fingers being in a flexed position (see Fig. 106). Active movements are lost, and even passive movements are painful. The hardness and stiffness of the muscles and the absence of R.D., together with the normal condition of sensation, suffice, with the history of the case, to distinguish it from a neuritis. But we also meet with cases of muscular weakness and atrophy localised in certain muscles, where the motor nerves and nuclei are healthy, but the muscle fibres themselves are primarily diseased. This group of diseases is called muscular dystrophy, idiopathic muscular atrophy, or myopathy. Clinically we recognise two main classes of myopathy:--(1) those cases in which all the affected muscles waste from the outset; and (2) those in which certain muscles undergo a false enlargement before they ultimately become smaller--so-called pseudohypertrophic paralysis. But there is really no essential difference between these two varieties. Even in pseudo-hypertrophic cases, certain muscles underg...
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